Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jenna Marie Restivo, MA-SLP

Individual provider Speech-Language Pathologist · NPI 1760655880

Mrs. Jenna Marie Restivo, MA-SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

28 Maybury Ct
Staten Island, NY 10306-3613
Phone: (718) 554-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 018067-1 (NY)

Record details

NPI number1760655880
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-SLP
Sole proprietorYes
NPI enumeratedApril 9, 2008
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

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